Cullison, Timothy Alan

Cullison, Timothy Alan is an individual health care provider with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Cullison, Timothy Alan can be contacted via phone (386) 586-2022.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (386) 586-2022
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 154277 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01037584 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 154277 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01037584 Indiana

Profile Details

NPI number 1497798052
LBN Legal business name Cullison, Timothy Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Feb 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497798052 NPPES
Florida Other 154277 FLORIDA DEPARTMENT OF HEALTH
Florida Other 01037584 FLORIDA DEPARTMENT OF HEALTH

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